Individual
CYRIL BOLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 N MIDLAND DR APT J4, MIDLAND, TX 79707-5584
(432) 599-0155
Mailing address
3001 N MIDLAND DR APT J4, MIDLAND, TX 79707-5584
(432) 599-0155
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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